Evaluation of the Sexually Abused Child A Medical Textbook and Photographic Atlas

by Heger, Astrid H.; Emans, S. Jean

• ISBN13: 9780195074253
• ISBN10: 0195074254
• Format: Hardcover
• Copyright: 1992-11-26
• Publisher: Oxford University Press

Summary

While awareness of child sexual abuse has increased greatly, physicians have traditionally received little or no training in evaluating suspected abuse. This is the first medical book to combine a step-by-step discussion of how to interview and evaluate sexually abused children with a complete photographic atlas containing 120 color illustrations documenting signs of abuse. Chapters in the text deal with such topics as the psychological aspects of abuse, sexually transmitted diseases, the forensic team, and the role of the physician in court. This volume is a comprehensive and authoritative resource for pediatricians and all other primary care physicians who see children in their practice.

Author Biography

About the Authors
Astrid H. Heger, M.D. is Professor of Pediatrics at the University of Southern California School of Medicine where she is Executive Director of the LAC/USC Violence Intervention Program. Dr. Heger is a pioneer researcher in the diagnosis of child sexual abuse and in the use of colposcopy and photodocumentation for the evaluation of pediatric genital anatomy. She has published and lectured widely on the medical evaluation of the sexually abused child.
S. Jean Emans, M.D. is Associate Chief in the Division of Adolescent Medicine and Associate Professor of Pediatrics at Harvard Medical School. Dr. Emans has been actively involved in the medical care of pediatric and adolescent patients with gynecological problems and has been a longtime consultant to the Child Sexual Abuse Team at Children's Hospital, Boston. She has been the author of numerous scientific papers, including research on the medical criteria for the diagnosis of child sexual abuse.

Table of Contents

Helping the Medical Profession Make the Diagnosis of Sexual Abuse

The Child Protection System

The Psychological Effects of Child Sexual Abuse

The Medical Interview

Physical Examination of the Child and Adolescent

Forensic Examination: The Role of the Physician as "Medical Detective"

Anatomy

Embryology of the Genital Tract

Anatomic and Physiologic Change

Anatomical Terms of Female External Genitalia

Photographic Atlas

Normal Genitalia

Developmental Changes

Variants

Other Variants

Changes with Technique and Position

Nonspecific Changes

Accidental Trauma

Acute Genital Trauma--Sexual Abuse

Chronic Changes--Sexual Abuse

Sexually Transmitted Diseases

Normal Ani or Anal Variants

Anal Changes

Nonspecific Anal Changes

Anal Trauma

Sexually Transmitted Diseases

Testifying as an Expert Witness

Table of Contents provided by Publisher. All Rights Reserved.